Hospital

UHHS MEMORIAL HOSPITAL OF GENEVA

Geneva, OH · CCN 361307 · Rates published

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You selected 93306 (CPT)

HC TTE W/DOPPLER COMPLETE - TTE COMPLETE

This hospital’s price: $1,238 across 40 payers · range $450-$2,251

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/7899/340714461-1225128432_university-hospitals-health-system_standardcharges.csv · observed 2025-05-17

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

13,319 distinct procedures filed

41 distinct payers

2,233,673 rate rows

2025-05-17 last MRF observed · ⚠ 17 mo old

Data quality

2,231,856 of 2,233,673 rate rows are consumer-grade (99.9%)

1,817 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
percent-of-charges filed in the dollar field — excluded from medians	521
placeholder amount (≤ $0.02) — excluded from medians	491
per-diem day rate — not a per-procedure price	365
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	199
exceeds 10× this hospital's gross charge — excluded from medians	86
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	76
template filing: same amount across many unrelated codes — excluded	69
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings	10

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 17 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://sthpiprd.blob.core.windows.net/machine-readable-files/7899/340714461-1225128432_university-hospitals-health-system_standardcharges.csv
Found on page	https://search.hospitalpriceindex.com/hpi2/machineReadable/GenevaMedicalCenter/7899
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-10-22
Content fingerprint	2f7355a4b86b6e87… · 4,414,673,884 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
S3399 HCPCS	Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit	19	$2,254,412.50	$4,508,825.00	$2,254,412.50	nat. median $3,669,056 0.6× median
Q2055 HCPCS	Idecabtagene Vicleucel 300 X 10exp6 To 460 X 10exp6 Cell IV Suspension	41	$432,085.00	$2,566,800.95	$1,832,040.40	nat. median $622,450 outlier · 2.9×
Q2042 HCPCS	Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension	41	$384,190.00	$2,446,250.00	$1,634,728.45	nat. median $739,258 outlier · 2.2×
Q2054 HCPCS	Lisocabtagene Maraleucel(cd8) 1.5x To 70x 10exp6 Cell/ml IV Susp(1of2)	41	$422,609.00	$2,113,045.00	$1,542,522.85	nat. median $640,950 outlier · 2.4×
Q2053 HCPCS	Brexucabtagene Autoleucel 1x 10exp6 To 1x 10exp8 Cell IV Suspension	41	$410,970.00	$2,054,850.00	$1,500,040.50	nat. median $591,721 outlier · 2.5×
Q2041 HCPCS	Axicabtagene Ciloleucel Intravenous Suspension	41	$410,970.00	$2,054,850.00	$1,500,040.50	nat. median $608,239 outlier · 2.5×
C9399 HCPCS	Betibeglogene Autotemcel 2 X 10exp6 To 20 X 10exp6 Cell/ml IV Susp	41	$1,545.00	$3,410,000.00	$682,000.00	nat. median $2,003 outlier · 340.5×
J2326 HCPCS	Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution	41	$137,327.33	$686,636.63	$501,244.74	nat. median $2,480 outlier · 202.1×
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	7	$10,978.00	$504,220.14	$408,731.33	nat. median $359,454 1.1× median
5884 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	7	$304,984.83	$316,828.90	$310,906.87	nat. median $247,214 1.3× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	7	$10,978.00	$376,610.17	$305,288.03	nat. median $249,036 1.2× median
5833 APR_DRG	Neonate With Ecmo	7	$295,050.29	$306,508.55	$300,779.42	nat. median $244,017 1.2× median
5834 APR_DRG	Neonate With Ecmo	7	$295,050.29	$306,508.55	$300,779.42	nat. median $307,206 1.0× median
5832 APR_DRG	Neonate With Ecmo	7	$280,686.10	$291,586.53	$286,136.32	nat. median $159,249 1.8× median
5831 APR_DRG	Neonate With Ecmo	7	$280,686.10	$291,586.53	$286,136.32	nat. median $146,500 2.0× median
1614 APR_DRG	Implantable Heart Assist Systems	7	$279,601.31	$290,459.61	$285,030.46	nat. median $202,993 1.4× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	7	$10,978.00	$317,173.84	$257,107.71	nat. median $198,418 1.3× median
24 APR_DRG	Heart And/or Lung Transplant	7	$245,988.30	$255,541.24	$250,764.77	nat. median $241,437 1.0× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…	7	$10,978.00	$286,540.49	$232,275.68	nat. median $190,559 1.2× median
A9543 HCPCS	Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous	41	$61,587.66	$307,938.32	$224,794.98	nat. median $63,528 outlier · 3.5×
1613 APR_DRG	Implantable Heart Assist Systems	7	$216,545.54	$224,955.08	$220,750.31	nat. median $120,517 1.8× median
1612 APR_DRG	Implantable Heart Assist Systems	7	$216,545.54	$224,955.08	$220,750.31	nat. median $84,880 outlier · 2.6×
1611 APR_DRG	Implantable Heart Assist Systems	7	$216,545.54	$224,955.08	$220,750.31	nat. median $76,852 outlier · 2.9×
74 APR_DRG	Allogeneic Bone Marrow Transplant	7	$210,373.06	$218,542.89	$214,457.97	nat. median $170,082 1.3× median
8412 APR_DRG	Extensive Third Degree Burns With Skin Graft	7	$195,869.27	$203,475.84	$199,672.56	nat. median $32,402 outlier · 6.2×
8413 APR_DRG	Extensive Third Degree Burns With Skin Graft	7	$195,869.27	$203,475.84	$199,672.56	nat. median $61,012 outlier · 3.3×
8411 APR_DRG	Extensive Third Degree Burns With Skin Graft	7	$195,869.27	$203,475.84	$199,672.56	nat. median $31,109 outlier · 6.4×
8414 APR_DRG	Extensive Third Degree Burns With Skin Graft	7	$195,869.27	$203,475.84	$199,672.56	nat. median $155,939 1.3× median
6094 APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	7	$195,854.73	$203,460.74	$199,657.73	nat. median $165,000 1.2× median
6304 APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	$190,095.64	$197,477.99	$193,786.81	nat. median $154,011 1.3× median
J9226 HCPCS	Histrelin 50 Mg (65 Mcg/day) Implant Kit	41	$49,983.42	$249,917.09	$182,439.48	nat. median $55,159 outlier · 3.3×
223 MS_DRG	DRG Carveouts	1	$175,170.45	$175,170.45	$175,170.45	nat. median $32,619 outlier · 5.4×
222 MS_DRG	DRG Carveouts	1	$175,170.45	$175,170.45	$175,170.45	nat. median $47,543 outlier · 3.7×
6314 APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	7	$167,873.84	$174,393.21	$171,133.53	nat. median $133,164 1.3× median
J1823 HCPCS	Inebilizumab-cdon 10 Mg/ml Intravenous Solution	41	$44,976.67	$224,883.36	$164,164.86	nat. median $818 outlier · 200.8×
J0223 HCPCS	Givosiran 189 Mg/ml Subcutaneous Solution	41	$44,441.57	$222,207.83	$162,211.71	nat. median $153 outlier · 1063.2×
J9347 HCPCS	Tremelimumab-actl 20 Mg/ml Intravenous Solution	41	$43,147.15	$215,735.77	$157,487.11	nat. median $2,868 outlier · 54.9×
5883 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	7	$154,401.79	$160,397.98	$157,399.88	nat. median $175,204 0.9× median
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And…	7	$10,978.00	$188,918.10	$153,140.94	nat. median $126,695 1.2× median
5882 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	7	$146,900.79	$152,605.68	$149,753.24	nat. median $145,061 1.0× median
5881 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	7	$146,900.79	$152,605.68	$149,753.24	nat. median $120,208 1.2× median
C9293 HCPCS	Glucarpidase 1,000 Unit Intravenous Solution	41	$40,545.05	$202,725.27	$147,989.45	nat. median $30,297 outlier · 4.9×
5934 APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	$142,384.93	$147,914.45	$145,149.69	nat. median $151,838 1.0× median
224 MS_DRG	DRG Carveouts	1	$142,045.52	$142,045.52	$142,045.52	nat. median $39,452 outlier · 3.6×
225 MS_DRG	DRG Carveouts	1	$142,045.52	$142,045.52	$142,045.52	nat. median $34,024 outlier · 4.2×
14 MS_DRG	Allogeneic Bone Marrow Transplant	7	$10,978.00	$175,171.07	$141,997.31	nat. median $110,307 1.3× median
7 MS_DRG	Lung Transplant	7	$10,978.00	$174,729.86	$141,639.65	nat. median $117,974 1.2× median
5914 APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	7	$132,231.19	$137,366.39	$134,798.79	nat. median $162,342 0.8× median
454 MS_DRG	DRG Carveouts	1	$132,158.38	$132,158.38	$132,158.38	nat. median $49,540 outlier · 2.7×
455 MS_DRG	DRG Carveouts	1	$132,158.38	$132,158.38	$132,158.38	nat. median $38,810 outlier · 3.4×

Other procedures at this hospital

Browse this hospital's 13,319 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

S3399	HCPCS	Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit	19	19	—	—	$2,254,412.50	$4,508,825.00	$2,254,412.50	2025-05-17
Q2055	HCPCS	Idecabtagene Vicleucel 300 X 10exp6 To 460 X 10exp6 Cell IV Suspension	153	41	$2,566,800.95	$1,925,100.72 25% off	$432,085.00	$2,566,800.95	$1,832,040.40	2025-05-17
Q2042	HCPCS	Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension	153	41	$2,446,250.00	$1,834,687.50 25% off	$384,190.00	$2,446,250.00	$1,634,728.45	2025-05-17
Q2054	HCPCS	Lisocabtagene Maraleucel(cd8) 1.5x To 70x 10exp6 Cell/ml IV Susp(1of2)	94	41	$2,113,045.00	$1,584,783.75 25% off	$422,609.00	$2,113,045.00	$1,542,522.85	2025-05-17
Q2041	HCPCS	Axicabtagene Ciloleucel Intravenous Suspension	94	41	$2,054,850.00	$1,541,137.50 25% off	$410,970.00	$2,054,850.00	$1,500,040.50	2025-05-17
Q2053	HCPCS	Brexucabtagene Autoleucel 1x 10exp6 To 1x 10exp8 Cell IV Suspension	94	41	$2,054,850.00	$1,541,137.50 25% off	$410,970.00	$2,054,850.00	$1,500,040.50	2025-05-17
C9399	HCPCS	Betibeglogene Autotemcel 2 X 10exp6 To 20 X 10exp6 Cell/ml IV Susp	271	41	$3,080,000.00	$2,310,000.00 25% off	$1,545.00	$3,410,000.00	$682,000.00	2025-05-17
J2326	HCPCS	Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution	94	41	$686,636.63	$514,977.48 25% off	$137,327.33	$686,636.63	$501,244.74	2025-05-17
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	8	7	—	—	$10,978.00	$504,220.14	$408,731.33	2025-05-17
5884	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	7	7	—	—	$304,984.83	$316,828.90	$310,906.87	2025-05-17
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	8	7	—	—	$10,978.00	$376,610.17	$305,288.03	2025-05-17
5833	APR_DRG	Neonate With Ecmo	7	7	—	—	$295,050.29	$306,508.55	$300,779.42	2025-05-17
5834	APR_DRG	Neonate With Ecmo	7	7	—	—	$295,050.29	$306,508.55	$300,779.42	2025-05-17
5832	APR_DRG	Neonate With Ecmo	7	7	—	—	$280,686.10	$291,586.53	$286,136.32	2025-05-17
5831	APR_DRG	Neonate With Ecmo	7	7	—	—	$280,686.10	$291,586.53	$286,136.32	2025-05-17
1614	APR_DRG	Implantable Heart Assist Systems	7	7	—	—	$279,601.31	$290,459.61	$285,030.46	2025-05-17
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	8	7	—	—	$10,978.00	$317,173.84	$257,107.71	2025-05-17
24	APR_DRG	Heart And/or Lung Transplant	7	7	—	—	$245,988.30	$255,541.24	$250,764.77	2025-05-17
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…	8	7	—	—	$10,978.00	$286,540.49	$232,275.68	2025-05-17
A9543	HCPCS	Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous	94	41	$307,938.32	$230,953.74 25% off	$61,587.66	$307,938.32	$224,794.98	2025-05-17
1612	APR_DRG	Implantable Heart Assist Systems	7	7	—	—	$216,545.54	$224,955.08	$220,750.31	2025-05-17
1613	APR_DRG	Implantable Heart Assist Systems	7	7	—	—	$216,545.54	$224,955.08	$220,750.31	2025-05-17
1611	APR_DRG	Implantable Heart Assist Systems	7	7	—	—	$216,545.54	$224,955.08	$220,750.31	2025-05-17
74	APR_DRG	Allogeneic Bone Marrow Transplant	7	7	—	—	$210,373.06	$218,542.89	$214,457.97	2025-05-17
8411	APR_DRG	Extensive Third Degree Burns With Skin Graft	7	7	—	—	$195,869.27	$203,475.84	$199,672.56	2025-05-17
8414	APR_DRG	Extensive Third Degree Burns With Skin Graft	7	7	—	—	$195,869.27	$203,475.84	$199,672.56	2025-05-17
8412	APR_DRG	Extensive Third Degree Burns With Skin Graft	7	7	—	—	$195,869.27	$203,475.84	$199,672.56	2025-05-17
8413	APR_DRG	Extensive Third Degree Burns With Skin Graft	7	7	—	—	$195,869.27	$203,475.84	$199,672.56	2025-05-17
6094	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	7	7	—	—	$195,854.73	$203,460.74	$199,657.73	2025-05-17
6304	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	7	—	—	$190,095.64	$197,477.99	$193,786.81	2025-05-17
J9226	HCPCS	Histrelin 50 Mg (65 Mcg/day) Implant Kit	94	41	$249,917.09	$187,437.82 25% off	$49,983.42	$249,917.09	$182,439.48	2025-05-17
223	MS_DRG	DRG Carveouts	1	1	—	—	$175,170.45	$175,170.45	$175,170.45	2025-05-17
222	MS_DRG	DRG Carveouts	1	1	—	—	$175,170.45	$175,170.45	$175,170.45	2025-05-17
6314	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	7	7	—	—	$167,873.84	$174,393.21	$171,133.53	2025-05-17
J1823	HCPCS	Inebilizumab-cdon 10 Mg/ml Intravenous Solution	94	41	$224,883.36	$168,662.52 25% off	$44,976.67	$224,883.36	$164,164.86	2025-05-17
J0223	HCPCS	Givosiran 189 Mg/ml Subcutaneous Solution	94	41	$222,207.83	$166,655.88 25% off	$44,441.57	$222,207.83	$162,211.71	2025-05-17
J9347	HCPCS	Tremelimumab-actl 20 Mg/ml Intravenous Solution	94	41	$215,735.77	$161,801.83 25% off	$43,147.15	$215,735.77	$157,487.11	2025-05-17
5883	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	7	7	—	—	$154,401.79	$160,397.98	$157,399.88	2025-05-17
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …	8	7	—	—	$10,978.00	$188,918.10	$153,140.94	2025-05-17
5881	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	7	7	—	—	$146,900.79	$152,605.68	$149,753.24	2025-05-17
5882	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	7	7	—	—	$146,900.79	$152,605.68	$149,753.24	2025-05-17
C9293	HCPCS	Glucarpidase 1,000 Unit Intravenous Solution	94	41	$202,725.27	$152,043.96 25% off	$40,545.05	$202,725.27	$147,989.45	2025-05-17
5934	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	7	—	—	$142,384.93	$147,914.45	$145,149.69	2025-05-17
224	MS_DRG	DRG Carveouts	1	1	—	—	$142,045.52	$142,045.52	$142,045.52	2025-05-17
225	MS_DRG	DRG Carveouts	1	1	—	—	$142,045.52	$142,045.52	$142,045.52	2025-05-17
14	MS_DRG	Allogeneic Bone Marrow Transplant	8	7	—	—	$10,978.00	$175,171.07	$141,997.31	2025-05-17
7	MS_DRG	Lung Transplant	8	7	—	—	$10,978.00	$174,729.86	$141,639.65	2025-05-17
5914	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	7	7	—	—	$132,231.19	$137,366.39	$134,798.79	2025-05-17
455	MS_DRG	DRG Carveouts	1	1	—	—	$132,158.38	$132,158.38	$132,158.38	2025-05-17
454	MS_DRG	DRG Carveouts	1	1	—	—	$132,158.38	$132,158.38	$132,158.38	2025-05-17
453	MS_DRG	DRG Carveouts	1	1	—	—	$132,158.38	$132,158.38	$132,158.38	2025-05-17
215	MS_DRG	Other Heart Assist System Implant	9	8	—	—	$10,978.00	$258,865.80	$127,656.75	2025-05-17
J9269	HCPCS	Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution	94	41	$171,000.60	$128,250.45 25% off	$34,200.12	$171,000.60	$124,830.44	2025-05-17
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	7	7	—	—	$121,690.95	$126,416.81	$124,053.88	2025-05-17
226	MS_DRG	DRG Carveouts	1	1	—	—	$123,664.20	$123,664.20	$123,664.20	2025-05-17
227	MS_DRG	DRG Carveouts	1	1	—	—	$123,664.20	$123,664.20	$123,664.20	2025-05-17
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	8	7	—	—	$83,617.13	$180,137.60	$120,272.01	2025-05-17
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	8	7	—	—	$10,978.00	$147,333.39	$119,431.51	2025-05-17
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	8	7	—	—	$10,978.00	$145,651.44	$118,068.09	2025-05-17
230	MS_DRG	DRG Carveouts	1	1	—	—	$117,665.90	$117,665.90	$117,665.90	2025-05-17
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	8	7	—	—	$10,978.00	$142,382.48	$115,418.20	2025-05-17
J7330	HCPCS	Implant, Maci Final, Product Assembled, Single	153	41	$156,756.00	$117,567.00 25% off	$31,351.20	$313,512.00	$114,431.88	2025-05-17
J0202	HCPCS	Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution	94	41	$156,047.54	$117,035.66 25% off	$31,209.51	$156,047.54	$113,914.71	2025-05-17
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	8	7	—	—	$10,978.00	$140,056.10	$113,532.38	2025-05-17
22	APR_DRG	Heart And/or Lung Transplant	7	7	—	—	$109,415.16	$113,664.29	$111,539.73	2025-05-17
21	APR_DRG	Heart And/or Lung Transplant	7	7	—	—	$109,415.16	$113,664.29	$111,539.73	2025-05-17
23	APR_DRG	Heart And/or Lung Transplant	7	7	—	—	$109,415.16	$113,664.29	$111,539.73	2025-05-17
94	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	7	7	—	—	$109,240.07	$113,482.40	$111,361.24	2025-05-17
A9606	HCPCS	Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln	94	41	$148,062.50	$111,046.88 25% off	$29,612.50	$148,062.50	$108,085.62	2025-05-17
231	MS_DRG	Coronary Bypass With Ptca With Mcc	8	7	—	—	$73,417.87	$166,272.42	$105,601.74	2025-05-17
73	APR_DRG	Allogeneic Bone Marrow Transplant	7	7	—	—	$103,023.09	$107,023.99	$105,023.54	2025-05-17
44	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	7	7	—	—	$99,266.87	$103,121.89	$101,194.38	2025-05-17
850	MS_DRG	Acute Leukemia With Other Procedures	8	7	—	—	$10,978.00	$123,163.10	$99,838.57	2025-05-17
6024	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$97,669.74	$101,462.74	$99,566.24	2025-05-17
6074	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$96,602.08	$100,353.62	$98,477.85	2025-05-17
J9359	HCPCS	Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution	94	41	$133,461.89	$100,096.42 25% off	$26,692.38	$133,461.89	$97,427.18	2025-05-17
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	8	7	—	—	$67,721.29	$122,292.75	$97,407.98	2025-05-17
Q2043	HCPCS	Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension	94	41	$133,364.40	$100,023.30 25% off	$26,672.88	$133,364.40	$97,356.01	2025-05-17
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	8	7	—	—	$67,037.70	$131,850.88	$96,424.73	2025-05-17
J1747	HCPCS	Spesolimab-sbzo 60 Mg/ml Intravenous Solution	94	41	$131,667.49	$98,750.62 25% off	$26,333.50	$131,667.49	$96,117.27	2025-05-17
J2507	HCPCS	Pegloticase 8 Mg/ml Intravenous Solution	94	41	$131,153.51	$98,365.14 25% off	$26,230.70	$131,153.51	$95,742.06	2025-05-17
8504	APR_DRG	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	7	7	—	—	$93,562.06	$97,195.54	$95,378.80	2025-05-17
J9118	HCPCS	Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution	94	41	$128,920.57	$96,690.43 25% off	$25,784.11	$128,920.57	$94,112.01	2025-05-17
3034	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	7	7	—	—	$90,745.52	$94,269.62	$92,507.57	2025-05-17
8514	APR_DRG	Gender Related Procedures	7	7	—	—	$90,567.17	$94,084.34	$92,325.75	2025-05-17
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	8	7	—	—	$73,159.38	$113,233.20	$91,789.19	2025-05-17
5933	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	7	—	—	$89,348.79	$92,818.65	$91,083.72	2025-05-17
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	8	7	—	—	$10,978.00	$111,513.82	$90,395.43	2025-05-17
38230	CPT	Hc Bone Marrow Harvest Transplantation Allogeneic	94	41	$122,091.00	$91,568.25 25% off	$2,250.90	$122,091.00	$89,126.43	2025-05-17
14	APR_DRG	Liver Transplant And/or Intestinal Transplant	7	7	—	—	$87,207.53	$90,594.23	$88,900.88	2025-05-17
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	8	7	—	—	$10,978.00	$107,776.91	$87,366.20	2025-05-17
03060	EAPG	Ventricular Assist Device Procedures	7	7	—	—	$85,893.84	$87,988.81	$87,150.82	2025-05-17
10	MS_DRG	Pancreas Transplant	8	7	—	—	$10,978.00	$106,599.01	$86,411.38	2025-05-17
6303	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	7	—	—	$84,348.34	$87,624.00	$85,986.17	2025-05-17
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	8	7	—	—	$10,978.00	$105,988.00	$85,916.08	2025-05-17
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	7	6	—	—	$61,228.49	$125,519.92	$85,150.28	2025-05-17
J9348	HCPCS	Naxitamab-gqgk 4 Mg/ml Intravenous Solution	94	41	$116,612.85	$87,459.64 25% off	$23,322.57	$116,612.85	$85,127.38	2025-05-17
J9229	HCPCS	Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln	94	41	$116,476.42	$87,357.32 25% off	$23,295.28	$116,476.42	$85,027.79	2025-05-17
84	APR_DRG	Autologous Bone Marrow Transplant	7	7	—	—	$82,810.94	$86,026.90	$84,418.92	2025-05-17
72	APR_DRG	Allogeneic Bone Marrow Transplant	7	7	—	—	$82,607.19	$85,815.24	$84,211.22	2025-05-17
71	APR_DRG	Allogeneic Bone Marrow Transplant	7	7	—	—	$82,607.19	$85,815.24	$84,211.22	2025-05-17
6334	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Anomaly	7	7	—	—	$82,256.71	$85,451.14	$83,853.92	2025-05-17
8424	APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns	7	7	—	—	$82,179.66	$85,371.11	$83,775.38	2025-05-17
J9266	HCPCS	Pegaspargase 750 Unit/ml Injection Solution	94	41	$114,548.67	$85,911.51 25% off	$22,909.73	$114,548.67	$83,620.53	2025-05-17
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	8	7	—	—	$57,768.09	$120,864.92	$83,091.63	2025-05-17
J9274	HCPCS	Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution	94	41	$112,071.97	$84,053.98 25% off	$22,414.39	$112,071.97	$81,812.54	2025-05-17
6093	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	7	7	—	—	$80,005.06	$83,112.06	$81,558.56	2025-05-17
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	8	7	—	—	$10,978.00	$99,796.35	$80,897.00	2025-05-17
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	7	6	—	—	$58,089.52	$89,641.84	$80,784.93	2025-05-17
6023	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$79,092.87	$82,164.43	$80,628.65	2025-05-17
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	8	7	—	—	$55,951.25	$180,137.60	$80,478.35	2025-05-17
6092	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	7	7	—	—	$76,134.39	$79,091.06	$77,612.72	2025-05-17
6091	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	7	7	—	—	$76,134.39	$79,091.06	$77,612.72	2025-05-17
6114	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	7	7	—	—	$75,876.80	$78,823.48	$77,350.14	2025-05-17
1834	APR_DRG	Percutaneous Structural Cardiac Procedures	7	7	—	—	$75,528.28	$78,461.42	$76,994.85	2025-05-17
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	8	7	—	—	$10,978.00	$94,963.10	$76,979.06	2025-05-17
43	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	7	7	—	—	$75,383.80	$78,311.33	$76,847.57	2025-05-17
J7311	HCPCS	Fluocinolone 0.59 Mg Intravitreal Implant	94	41	$105,240.36	$78,930.27 25% off	$21,048.07	$105,240.36	$76,825.46	2025-05-17
J9600	HCPCS	Porfimer 2.5 Mg/ml IV Syringe	94	41	$105,199.05	$78,899.29 25% off	$21,039.81	$105,199.05	$76,795.30	2025-05-17
8634	APR_DRG	Neonatal Aftercare	7	7	—	—	$75,274.87	$78,198.17	$76,736.52	2025-05-17
1784	APR_DRG	External Heart Assist Systems	7	7	—	—	$75,250.00	$78,172.33	$76,711.16	2025-05-17
6904	APR_DRG	Acute Leukemia	7	7	—	—	$74,958.40	$77,869.41	$76,413.91	2025-05-17
6214	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	7	7	—	—	$74,518.45	$77,412.37	$75,965.41	2025-05-17
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	8	7	—	—	$10,978.00	$93,008.41	$75,394.55	2025-05-17
5913	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	7	7	—	—	$73,552.94	$76,409.36	$74,981.15	2025-05-17
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	8	7	—	—	$51,544.74	$180,137.60	$74,140.18	2025-05-17
955	MS_DRG	Craniotomy For Multiple Significant Trauma	8	7	—	—	$10,978.00	$91,294.37	$74,005.11	2025-05-17
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	9	8	—	—	$10,978.00	$166,272.42	$73,603.73	2025-05-17
459	MS_DRG	DRG Carveouts	1	1	—	—	$72,908.25	$72,908.25	$72,908.25	2025-05-17
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	8	7	—	—	$10,978.00	$89,296.89	$72,385.92	2025-05-17
6124	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$70,973.78	$73,730.04	$72,351.91	2025-05-17
J2350	HCPCS	Ocrelizumab 30 Mg/ml Intravenous Solution	94	41	$98,446.22	$73,834.67 25% off	$19,689.24	$98,446.22	$71,865.74	2025-05-17
54	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	7	7	—	—	$70,279.26	$73,008.55	$71,643.90	2025-05-17
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	9	8	—	—	$10,978.00	$89,778.72	$70,898.73	2025-05-17
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	8	7	—	—	$10,978.00	$86,466.46	$70,091.51	2025-05-17
3033	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	7	7	—	—	$68,233.29	$70,883.12	$69,558.21	2025-05-17
6073	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$68,087.81	$70,732.00	$69,409.90	2025-05-17
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	9	8	—	—	$10,978.00	$76,735.78	$69,154.03	2025-05-17
J0638	HCPCS	Canakinumab (pf) 150 Mg/ml Subcutaneous Solution	94	41	$94,723.08	$71,042.31 25% off	$18,944.62	$94,723.08	$69,147.85	2025-05-17
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	8	7	—	—	$10,978.00	$84,555.89	$68,542.76	2025-05-17
L8688	HCPCS	Generator, M1000-d, Sentiva Duo	92	41	$102,755.64	$77,066.73 25% off	$20,551.13	$102,755.64	$68,502.04	2025-05-17
5893	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	7	7	—	—	$67,164.19	$69,772.51	$68,468.35	2025-05-17
5894	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	7	7	—	—	$67,164.19	$69,772.51	$68,468.35	2025-05-17
6814	APR_DRG	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	7	7	—	—	$66,074.24	$68,640.23	$67,357.24	2025-05-17
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	8	7	—	—	$10,978.00	$82,819.13	$67,134.91	2025-05-17
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	8	7	—	—	$10,978.00	$82,712.17	$67,048.20	2025-05-17
6954	APR_DRG	Chemotherapy For Acute Leukemia	7	7	—	—	$65,701.82	$68,253.34	$66,977.58	2025-05-17
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	8	7	—	—	$10,978.00	$82,335.13	$66,742.57	2025-05-17
1634	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	7	7	—	—	$65,168.97	$67,699.80	$66,434.38	2025-05-17
28	MS_DRG	Spinal Procedures With Mcc	8	7	—	—	$10,978.00	$81,282.92	$65,889.62	2025-05-17
1624	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	7	7	—	—	$64,441.49	$66,944.07	$65,692.78	2025-05-17
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	8	7	—	—	$10,978.00	$80,699.98	$65,417.08	2025-05-17
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	8	7	—	—	$10,978.00	$80,699.98	$65,417.08	2025-05-17
6313	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	7	7	—	—	$64,135.06	$66,625.74	$65,380.40	2025-05-17
5892	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	7	7	—	—	$63,920.10	$66,402.43	$65,161.27	2025-05-17
5891	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	7	7	—	—	$63,920.10	$66,402.43	$65,161.27	2025-05-17
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	8	7	—	—	$10,978.00	$80,097.00	$64,928.29	2025-05-17
A9604	HCPCS	Samarium Sm 153 Lexidronam 5,550 Mbq/3 Ml Intravenous Solution	94	41	$88,888.25	$66,666.19 25% off	$17,777.65	$88,888.25	$64,888.43	2025-05-17
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	8	7	—	—	$10,978.00	$79,481.98	$64,429.74	2025-05-17
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	9	8	—	—	$10,978.00	$122,292.75	$64,103.09	2025-05-17
J9228	HCPCS	Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution	153	41	$177,906.55	$133,429.92 25% off	$8,895.35	$177,906.55	$64,046.36	2025-05-17
224	APR_DRG	Ventricular Shunt Procedures	7	7	—	—	$62,688.55	$65,123.06	$63,905.80	2025-05-17
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	9	8	—	—	$10,978.00	$131,850.88	$63,819.94	2025-05-17
83	APR_DRG	Autologous Bone Marrow Transplant	7	7	—	—	$62,372.71	$64,794.95	$63,583.83	2025-05-17
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	8	7	—	—	$10,978.00	$77,844.15	$63,102.08	2025-05-17
J9309	HCPCS	Polatuzumab Vedotin-piiq 140 Mg Intravenous Solution	94	41	$86,294.33	$64,720.75 25% off	$17,258.87	$86,294.33	$62,994.86	2025-05-17
113	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	7	7	—	—	$61,787.29	$64,186.80	$62,987.04	2025-05-17
111	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	7	7	—	—	$61,787.29	$64,186.80	$62,987.04	2025-05-17
114	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	7	7	—	—	$61,787.29	$64,186.80	$62,987.04	2025-05-17
112	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	7	7	—	—	$61,787.29	$64,186.80	$62,987.04	2025-05-17
7924	APR_DRG	Extensive O.r. Procedures For Other Complications Of Treatment	7	7	—	—	$60,695.99	$63,053.12	$61,874.56	2025-05-17
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	9	8	—	—	$10,978.00	$91,118.40	$61,847.52	2025-05-17
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	8	7	—	—	$10,978.00	$76,277.19	$61,831.88	2025-05-17
J3241	HCPCS	Teprotumumab-trbw 500 Mg Intravenous Solution	94	41	$83,988.16	$62,991.12 25% off	$16,797.63	$83,988.16	$61,311.36	2025-05-17
653	MS_DRG	Major Bladder Procedures With Mcc	8	7	—	—	$10,978.00	$74,532.40	$60,417.51	2025-05-17
9504	APR_DRG	Extensive O.r. Procedure Unrelated To Principal Diagnosis	7	7	—	—	$59,003.70	$61,295.11	$60,149.41	2025-05-17
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	9	8	—	—	$10,978.00	$117,665.90	$60,043.78	2025-05-17
J2502	HCPCS	Pasireotide Pamoate 20 Mg IM Suspension	94	41	$82,121.85	$61,591.39 25% off	$16,424.37	$82,121.85	$59,948.95	2025-05-17
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	8	7	—	—	$10,978.00	$73,900.00	$59,904.88	2025-05-17
834	MS_DRG	Acute Leukemia With Mcc	8	7	—	—	$10,978.00	$73,900.00	$59,904.88	2025-05-17
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	8	7	—	—	$10,978.00	$73,589.82	$59,653.43	2025-05-17
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	8	7	—	—	$10,978.00	$73,140.59	$59,289.28	2025-05-17
6022	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$58,051.30	$60,305.72	$59,178.51	2025-05-17
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	8	7	—	—	$10,978.00	$72,747.51	$58,970.64	2025-05-17
245	MS_DRG	Aicd Generator Procedures	9	8	—	—	$10,978.00	$65,336.52	$58,881.05	2025-05-17
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	8	7	—	—	$10,978.00	$72,581.72	$58,836.25	2025-05-17
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	8	7	—	—	$10,978.00	$72,211.37	$58,536.04	2025-05-17
248	MS_DRG	DRG Carveouts	1	1	—	—	$58,499.82	$58,499.82	$58,499.82	2025-05-17
11	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	8	7	—	—	$10,978.00	$72,143.18	$58,480.76	2025-05-17
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	8	7	—	—	$10,978.00	$72,135.16	$58,474.26	2025-05-17
6034	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	7	7	—	—	$57,135.38	$59,354.23	$58,244.80	2025-05-17
6033	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	7	7	—	—	$57,135.38	$59,354.23	$58,244.80	2025-05-17
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	9	8	—	—	$10,978.00	$79,777.10	$58,175.92	2025-05-17
8633	APR_DRG	Neonatal Aftercare	7	7	—	—	$57,037.38	$59,252.43	$58,144.91	2025-05-17
5932	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	7	—	—	$56,775.22	$58,980.08	$57,877.65	2025-05-17
5931	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	7	—	—	$56,775.22	$58,980.08	$57,877.65	2025-05-17
914	APR_DRG	Other Major Head And Neck Procedures	7	7	—	—	$55,762.08	$57,927.60	$56,844.84	2025-05-17
5912	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	7	7	—	—	$55,657.19	$57,818.64	$56,737.92	2025-05-17
5911	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	7	7	—	—	$55,657.19	$57,818.64	$56,737.92	2025-05-17
J3357	HCPCS	Ustekinumab 90 Mg/ml Subcutaneous Syringe	212	41	$68,405.39	$51,304.05 25% off	$13,131.02	$136,810.84	$56,619.93	2025-05-17
6301	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	7	—	—	$55,503.71	$57,659.20	$56,581.46	2025-05-17
6302	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	7	—	—	$55,503.71	$57,659.20	$56,581.46	2025-05-17
J9029	HCPCS	Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension	94	41	$77,250.00	$57,937.50 25% off	$15,450.00	$77,250.00	$56,392.50	2025-05-17
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	8	7	—	—	$10,978.00	$68,856.84	$55,816.78	2025-05-17
2004	APR_DRG	Cardiac Structural And Valvular Disorders	7	7	—	—	$54,418.64	$56,531.98	$55,475.31	2025-05-17
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	9	8	—	—	$10,978.00	$131,850.88	$55,336.24	2025-05-17
J9298	HCPCS	Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution	94	41	$75,752.49	$56,814.37 25% off	$15,150.50	$75,752.49	$55,299.32	2025-05-17
3044	APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	7	7	—	—	$54,037.90	$56,136.46	$55,087.18	2025-05-17
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	8	7	—	—	$10,978.00	$67,906.23	$55,046.20	2025-05-17
9104	APR_DRG	Craniotomy For Multiple Significant Trauma	7	7	—	—	$53,711.43	$55,797.31	$54,754.37	2025-05-17
471	MS_DRG	Cervical Spinal Fusion With Mcc	9	8	—	—	$10,978.00	$64,942.10	$54,666.32	2025-05-17
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	8	7	—	—	$10,978.00	$67,343.35	$54,589.93	2025-05-17
1833	APR_DRG	Percutaneous Structural Cardiac Procedures	7	7	—	—	$53,321.25	$55,391.97	$54,356.61	2025-05-17
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	8	7	—	—	$10,978.00	$66,946.26	$54,268.03	2025-05-17
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	8	7	—	—	$10,978.00	$66,894.12	$54,225.76	2025-05-17
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	8	7	—	—	$10,978.00	$66,867.38	$54,204.09	2025-05-17
249	MS_DRG	DRG Carveouts	1	1	—	—	$53,653.62	$53,653.62	$53,653.62	2025-05-17
1794	APR_DRG	Defibrillator Implants	7	7	—	—	$51,896.11	$53,911.49	$52,903.80	2025-05-17
1674	APR_DRG	Other Cardiothoracic And Thoracic Vascular Procedures	7	7	—	—	$51,560.19	$53,562.53	$52,561.36	2025-05-17
6	MS_DRG	Liver Transplant Without Mcc	8	7	—	—	$10,978.00	$64,833.80	$52,555.63	2025-05-17
214	APR_DRG	Open Craniotomy Except Trauma	7	7	—	—	$51,468.56	$53,467.34	$52,467.95	2025-05-17
1204	APR_DRG	Major Respiratory And Chest Procedures	7	7	—	—	$51,180.76	$53,168.36	$52,174.56	2025-05-17
53	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	7	7	—	—	$51,051.04	$53,033.61	$52,042.33	2025-05-17
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	9	8	—	—	$10,978.00	$72,823.17	$52,027.58	2025-05-17
6604	APR_DRG	Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…	7	7	—	—	$51,033.70	$53,015.59	$52,024.64	2025-05-17
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	8	7	—	—	$10,978.00	$63,848.44	$51,756.87	2025-05-17
J1628	HCPCS	Guselkumab 100 Mg/ml Subcutaneous Syringe	94	41	$70,893.10	$53,169.83 25% off	$14,178.62	$70,893.10	$51,751.96	2025-05-17
799	MS_DRG	Splenic Procedures With Mcc	8	7	—	—	$10,978.00	$63,571.68	$51,532.52	2025-05-17
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	8	7	—	—	$10,978.00	$63,559.64	$51,522.77	2025-05-17
1603	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	7	7	—	—	$50,290.78	$52,243.82	$51,267.30	2025-05-17
267	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	8	7	—	—	$10,978.00	$62,901.84	$50,989.54	2025-05-17
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	8	7	—	—	$10,978.00	$62,564.92	$50,716.43	2025-05-17
J9043	HCPCS	Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution	94	41	$69,344.76	$52,008.57 25% off	$13,868.95	$69,344.76	$50,621.68	2025-05-17
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	8	7	—	—	$10,978.00	$92,078.91	$50,417.29	2025-05-17
3124	APR_DRG	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	7	7	—	—	$49,316.65	$51,231.86	$50,274.25	2025-05-17
269	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	9	8	—	—	$10,978.00	$75,128.40	$50,132.27	2025-05-17
163	MS_DRG	Major Chest Procedures With Mcc	8	7	—	—	$10,978.00	$61,625.00	$49,954.51	2025-05-17
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	8	7	—	—	$10,978.00	$61,599.60	$49,933.92	2025-05-17
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	8	7	—	—	$10,978.00	$61,393.70	$49,767.01	2025-05-17
236	MS_DRG	Coronary Bypass Without Cardiac Catheterization Without Mcc	9	8	—	—	$10,978.00	$89,778.72	$49,546.69	2025-05-17
6084	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	7	7	—	—	$48,182.89	$50,054.07	$49,118.48	2025-05-17
6083	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	7	7	—	—	$48,182.89	$50,054.07	$49,118.48	2025-05-17
6344	APR_DRG	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	7	7	—	—	$48,041.58	$49,907.27	$48,974.43	2025-05-17
2204	APR_DRG	Major Stomach, Esophageal And Duodenal Procedures	7	7	—	—	$48,037.84	$49,903.39	$48,970.61	2025-05-17
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	8	7	—	—	$10,978.00	$60,320.09	$48,896.72	2025-05-17
1832	APR_DRG	Percutaneous Structural Cardiac Procedures	7	7	—	—	$47,946.44	$49,808.44	$48,877.44	2025-05-17
6072	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$47,786.59	$49,642.38	$48,714.49	2025-05-17
6903	APR_DRG	Acute Leukemia	7	7	—	—	$47,744.49	$49,598.64	$48,671.56	2025-05-17
474	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	8	7	—	—	$10,978.00	$59,960.44	$48,605.18	2025-05-17
6224	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$47,480.04	$49,323.93	$48,401.99	2025-05-17
A9572	HCPCS	Indium 111-pentetreotide 3 Mci/ml-10 Mcg Intravenous Kit	94	41	$66,218.70	$49,664.03 25% off	$13,243.74	$66,218.70	$48,339.65	2025-05-17
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	9	8	—	—	$10,978.00	$68,114.80	$48,296.81	2025-05-17
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	8	7	—	—	$10,978.00	$71,373.85	$48,142.07	2025-05-17
3032	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	7	7	—	—	$47,168.61	$49,000.40	$48,084.51	2025-05-17
901	MS_DRG	Wound Debridements For Injuries With Mcc	8	7	—	—	$10,978.00	$59,235.79	$48,017.75	2025-05-17
1623	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	7	7	—	—	$46,900.41	$48,721.79	$47,811.10	2025-05-17
1654	APR_DRG	Coronary Bypass With Ami Or Complex Principal Diagnosis	7	7	—	—	$46,819.44	$48,637.67	$47,728.56	2025-05-17
319	MS_DRG	Other Endovascular Cardiac Valve Procedures With Mcc	8	7	—	—	$10,978.00	$58,731.74	$47,609.17	2025-05-17
1831	APR_DRG	Percutaneous Structural Cardiac Procedures	7	7	—	—	$46,617.88	$48,428.29	$47,523.08	2025-05-17
876	MS_DRG	O.r. Procedures With Principal Diagnosis Of Mental Illness	5	4	—	—	$34,046.05	$51,084.80	$47,347.75	2025-05-17
J3245	HCPCS	Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe	94	41	$64,818.73	$48,614.05 25% off	$12,963.75	$64,818.73	$47,317.68	2025-05-17
9114	APR_DRG	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	7	7	—	—	$46,246.50	$48,042.48	$47,144.49	2025-05-17
273	MS_DRG	Percutaneous And Other Intracardiac Procedures With Mcc	9	8	—	—	$10,978.00	$80,597.80	$47,115.20	2025-05-17
933	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	8	7	—	—	$10,978.00	$57,850.65	$46,894.94	2025-05-17
264	APR_DRG	Other Nervous System And Related Procedures	7	7	—	—	$45,936.06	$47,719.99	$46,828.03	2025-05-17
J1303	HCPCS	Ravulizumab-cwvz 100 Mg/ml Intravenous Solution	153	41	$129,891.37	$97,418.53 25% off	$7,084.99	$129,891.37	$46,760.89	2025-05-17
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	8	7	—	—	$10,978.00	$57,032.41	$46,231.65	2025-05-17
92	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	7	7	—	—	$45,198.32	$46,953.59	$46,075.95	2025-05-17
93	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	7	7	—	—	$45,198.32	$46,953.59	$46,075.95	2025-05-17
91	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	7	7	—	—	$45,198.32	$46,953.59	$46,075.95	2025-05-17
C1824	HCPCS	Generator, Pulse, Optimizer Smart Ipg	92	41	$69,000.00	$51,750.00 25% off	$13,800.00	$69,000.00	$45,998.85	2025-05-17
234	APR_DRG	Spinal Procedures	7	7	—	—	$45,006.81	$46,754.65	$45,880.73	2025-05-17
1304	APR_DRG	Respiratory System Diagnosis With Ventilator Support > 96 Hours	7	7	—	—	$44,971.07	$46,717.52	$45,844.29	2025-05-17
140	MS_DRG	Major Head And Neck Procedures With Mcc	8	7	—	—	$10,978.00	$56,544.40	$45,836.07	2025-05-17
1781	APR_DRG	External Heart Assist Systems	7	7	—	—	$44,916.43	$46,660.75	$45,788.59	2025-05-17
1782	APR_DRG	External Heart Assist Systems	7	7	—	—	$44,916.43	$46,660.75	$45,788.59	2025-05-17
1783	APR_DRG	External Heart Assist Systems	7	7	—	—	$44,916.43	$46,660.75	$45,788.59	2025-05-17
31	MS_DRG	Ventricular Shunt Procedures With Mcc	8	7	—	—	$10,978.00	$56,028.32	$45,417.73	2025-05-17
673	MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	8	7	—	—	$10,978.00	$56,014.95	$45,406.88	2025-05-17
6123	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	7	7	—	—	$44,468.87	$46,195.82	$45,332.34	2025-05-17
793	MS_DRG	Full Term Neonate With Major Problems	8	7	—	—	$10,978.00	$55,759.59	$45,199.88	2025-05-17
6804	APR_DRG	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	7	7	—	—	$44,321.85	$46,043.08	$45,182.47	2025-05-17
460	MS_DRG	DRG Carveouts	3	2	—	—	$40,382.59	$59,543.27	$44,869.32	2025-05-17
958	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Cc	8	7	—	—	$10,978.00	$54,948.03	$44,542.01	2025-05-17
2304	APR_DRG	Major Small Bowel Procedures	7	7	—	—	$43,650.97	$45,346.15	$44,498.56	2025-05-17
12	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	8	7	—	—	$10,978.00	$54,866.47	$44,475.90	2025-05-17
204	APR_DRG	Open Craniotomy For Trauma	7	7	—	—	$43,532.19	$45,222.76	$44,377.47	2025-05-17
8423	APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns	7	7	—	—	$43,508.14	$45,197.77	$44,352.96	2025-05-17
448	MS_DRG	Multiple Level Spinal Fusion Except Cervical Without Mcc	8	7	—	—	$10,978.00	$54,596.40	$44,256.97	2025-05-17
423	MS_DRG	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	8	7	—	—	$10,978.00	$54,381.14	$44,082.48	2025-05-17
894	APR_DRG	Major Cranial Or Facial Bone Procedures	7	7	—	—	$43,230.26	$44,909.11	$44,069.69	2025-05-17
1664	APR_DRG	Coronary Bypass Without Ami Or Complex Principal Diagnosis	7	7	—	—	$43,200.62	$44,878.31	$44,039.47	2025-05-17
791	MS_DRG	Prematurity With Major Problems	8	7	—	—	$10,978.00	$54,280.86	$44,001.20	2025-05-17
2604	APR_DRG	Major Pancreas, Liver And Shunt Procedures	7	7	—	—	$43,033.59	$44,704.79	$43,869.19	2025-05-17
304	APR_DRG	Percutaneous Intracranial And Extracranial Vascular Procedures	7	7	—	—	$42,648.84	$44,305.10	$43,476.97	2025-05-17
274	APR_DRG	Other Open Craniotomy	7	7	—	—	$42,602.04	$44,256.48	$43,429.26	2025-05-17
1694	APR_DRG	Major Abdominal Vascular Procedures	7	7	—	—	$42,531.29	$44,182.99	$43,357.14	2025-05-17
907	MS_DRG	Other O.r. Procedures For Injuries With Mcc	8	7	—	—	$10,978.00	$53,262.07	$43,175.34	2025-05-17
739	MS_DRG	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	8	7	—	—	$10,978.00	$53,224.63	$43,144.99	2025-05-17
628	MS_DRG	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	8	7	—	—	$10,978.00	$52,754.01	$42,763.49	2025-05-17

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